Prescription Refill Request

Please fill out the following details as thoroughly as you can as it will help us care for your pet and get their prescription filled. If you have any questions or need help filling out this form, please call or text the clinic at 817-523-1139.

Your Name *

First Name Last Name

Your Email

Not required but in order to get a copy of your form, please fill this out! Thanks!

Your Phone Number *

Please enter a valid phone number.

*

To be filled at Summer Creek Animal Clinic To be filled at an outside pharmacy Written prescription to be picked up at Summer Creek Animal Clinic

Have the prescription in front of you? Take a clear photo of the label! If you upload a photo, you don't have to fill out the medication information.

We care a lot about your pet and getting the details of their prescription correct. We have found that there are only a few human pharmacies that we trust to do this consistently and with the high standard of care that we trust. To keep this high standard we have partnered exclusively with Albertsons, Costco, HEB, Kroger, and TomThumb. *

Albertsons Costco HEB Kroger TomThumb Online Pharmacy

Pharmacy Phone Number

Please enter a valid phone number.

Pharmacy Address (If not online)

Street Address

Street Address Line 2

City

Should the outside Pharmacy be reaching out to us? *

Yes, they should reach out to you No, please put in a refill request to this pharmacy

Your Pet's Name *

How many prescriptions are you requesting? *

Name of the Prescription Requested *

Size (mg, weight range, mL, lbs, etc.)

Quantity Requested (number of pills, bottles, boxes, bags, etc.)

Prescription Directions (Ex: 1/2 a tablet, twice a day, 1 cup, twice a day)

Name of the Prescription Requested *

Size (mg, weight range, mL, lbs, etc.)

Quantity Requested (number of pills, bottles, boxes, bags, etc.)

Prescription Directions (Ex: 1/2 a tablet, twice a day, 1 cup, twice a day)

Name of the Prescription Requested *

Size (mg, weight range, mL, lbs, etc.)

Quantity Requested (number of pills, bottles, boxes, bags, etc.)

Prescription Directions (Ex: 1/2 a tablet, twice a day, 1 cup, twice a day)

Name of the Prescription Requested *

Size (mg, weight range, mL, lbs, etc.)

Quantity Requested (number of pills, bottles, boxes, bags, etc.)

Prescription Directions (Ex: 1/2 a tablet, twice a day, 1 cup, twice a day) *

Anything else you would like us to know? We're here to help!

Please read the following details on turnaround times. Thank you for your patience as we work tirelessly to get your pet their prescriptions.

If your refill has been approved by your veterinarian and your pet does not need an appointment first, the timeline for pick-up will be within 3-7 business days for products we carry in clinic . Don't worry, we'll send you a text when it's ready!
We will reach out if we need to schedule your pet for an appointment before we can process the refill.
Prescriptions that we need to call into an outside pharmacy or special order for you will take time to order and ship, so this can take longer than our normal lead times. We will move as quickly as possible to get these for your pet.
If your pet is on long-term medication, please provide us as much advance notice as possible as it can take 5-14 business days for orders, compounding, or delivery to be completed.
For Hill's food that is special ordered, we get our shipments on Wednesday and will need your order no later than Tuesday morning to receive the food that week. Please be aware there are a lot of back-ordered products at this time!
There may be a delay with your prescription due to your pet's veterinarian being out of the office, holidays, back-ordered products, extended shipping times, or other unforeseen events. We will do our best to communicate these delays to you as quickly as possible.

Our number one goal is to care for you and your pet, so let us know if there is anything we can do! Thank you!

- Your Team At Summer Creek Animal Clinic

5228 Sycamore School Road, #100 Fort Worth, TX 76123

Monday-Friday 8:00am to 6:00pm
Saturday, Sunday: CLOSED
Closed for team meetings Fridays 12:00pm to 1:00pm

Do you need your pet's medication filled right away? Are you almost out? Is this an emergency refill? If so, for a small fee ($7.50) we can push this request to the front of the queue and do our best to complete this refill within 24 business hours. If this is not accomplished, the expedited fee will not be charged to your refill. *

Yes, please expedite my refill No, this is not an emergency and the normal lead time is fine

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